| Doctor Name: | VARTAN MINASYAN |
| NPI Number: | 1174704597 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 101072 |
| Business Practice Address: | 11082 Coloma Rd Suite #10 Rancho Cordova, CA - 956702875 |
| Business Phone Number: | 9166382363 |
| Business Fax Number: | 9166382364 |
| Mailing Address: | 11082 Coloma Rd, Suite #10 RANCHO CORDOVA |
| State: | CA |
| Postal Code: | 956702875 |
| Phone Number: | 9166382363 |
| Fax Number: | 9166382364 |
| NPI Enumeration Date: | 11/14/2007 |
| NPI Last Update Date: | 11/14/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | 101072 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |